Individual
VIVEK DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 NEW MEXICO AVE NW, SUITE 106, WASHINGTON, DC 20016-3622
(202) 966-0606
(202) 244-6757
Mailing address
7799 LEESBURG PIKE, SUITE 1000 N, FALLS CHURCH, VA 22043-2408
(703) 667-8600
(703) 667-8610
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0053608
MD
2085R0202X
Diagnostic Radiology Physician
MD00043982
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD31199
DC
2085R0202X
Diagnostic Radiology Physician
O101058285
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086500100
—
MD
01
—
300135375
RR MEDICARE
—
01
—
470001526
RR MEDICARE
—
Enumeration date
12/05/2005
Last updated
06/17/2013
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